A preliminary evaluation: Demographic and clinical profiles and changes in functioning in children receiving psychosocial rehabilitation

The present study is the first to examine the demographic and clinical profiles at intake of children, ages 4 to 18 years, who received Child Psychosocial Rehabilitation (CSPR), a relatively new community-based treatment model for children with emotional disturbance. In addition, the relationship between the relative change in psychosocial, emotional, and behavioral functioning as measured by CAFAS (Hodges, 1989, 1994, 2000) and PECFAS (1994, 2000) scores and the children's age, gender, ethnicity, current living arrangement, internalizing and externalizing behaviors, and severity of impairment at intake were evaluated. Fifty-three children received CPSR for a minimum of six months from a for-profit outpatient child and adolescent mental health clinic located in southwestern Idaho. Significant improvement in the children's overall functioning was found after six months of treatment. Middle or high school age children demonstrated significantly more impairment at intake compared with their younger counterparts. No significant differences in overall functioning were revealed considering the characteristic of gender, living arrangement and clinical profiles at intake.     

Principals' perceptions of benefits and barriers to school-based suicide prevention programs

Suicidal behavior among children and adolescents is a national problem and schools can be an effective context for suicide prevention and intervention efforts. School-wide screening programs are viewed as most effective from a public health standpoint, although they garner the least support from school administrators. The purpose of this article is to examine administrators' perceptions of three school-based suicide prevention models while also capturing opinions on barriers and benefits to implementation. Data were gathered through interviews with seven principals from one Midwestern state. Findings reveal agreement among principals that schools play a key role in suicide prevention, but they differ on which type of prevention approach is most appropriate. School principals believed the school-wide screening program included more barriers to implementation than either the in-service or the curriculum-based program, largely due to the likelihood of parental disapproval. Limitations of the study and implications for improving suicide prevention efforts are discussed.     

Commentary: the forgotten older adult with serious mental illness: the final challenge in achieving the promise of Olmstead?

Older adults with serious mental illness disproportionately reside in nursing homes despite the U.S. Supreme Court Olmstead decision supporting the rights of persons with disabilities to benefit from integrated services in the community. This commentary addresses the neglected policy debate on implementing Olmstead for this rapidly growing, older population with special needs. First, the author describes research findings on older adults with serious mental illness living in nursing homes who might more appropriately reside and receive services in the community. Second, the author summarizes the evidence base for effective psychosocial rehabilitation interventions and services facilitating independent living in community settings for this subgroup. Finally, he concludes with seven policy recommendations aimed at advancing the promise of the Olmstead decision with respect to older adults with serious mental illness.     

Screens in bed: visual art,sleep and handheld screen devices

This article seeks an understanding of sleeping and waking life in bed in relation to the use of handheld screen devices. The bedtime use of these devices has come to public attention through the involvement of this practice in the construction of two contemporary crises of sleep: Sleep science’s crisis of chronic sleep deprivation and the wider cultural crisis of the invasion of sleep by fast capitalism, as proposed by Jonathan Crary. Visual art is employed to gain insights into the two related understandings of sleep: one concerned with individual sleep self-regulation and the other with the corporeal commonality of sleep. The sociology of sleep, based on Michele Foucault’s concept of ‘biopower’, is augmented by philosophical insights from Jean-Luc Nancy and Gilles Deleuze to reconfigure the sleeping body beyond the bounds of disciplinary regimes and permit a reassessment of the affective potential of sleep. Works of digital media art, together with ethnographic and cultural studies on the use of mobile devices, are employed to tease out the entanglement of these screen devices with waking and sleeping bedroom life. An ontology of sleep as a pre-individual affective state is proposed as an alternative basis for resisting the appropriation of sleep by the always-waking world accessed through the use of smartphones and tablets.